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Impact of investments on the health system in Bulgaria

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  • Petko Salchev

Abstract

The article presents a concise situational analysis of the nation's health and the health system in the period of reform, and the factors affecting them and the market for health services - demographic, health and socio-economic. A short version of the theoretical model DEA analysis is presented, providing the main results of its application and solutions to optimization problems on the impact of investment on the market for health services. The impact of health technologies on this market is analyzed, measuring the effectiveness of the investments associated with the introduction of new technology in the health system. The estimation of the influence has taken into consideration the real capital investments for innovations, associated with the introduction of new knowledge and skills in the field of medicine. The study focuses on technical efficiency, and the resulting assessment could contribute to the optimal allocation of investments on the market for health services.

Suggested Citation

  • Petko Salchev, 2015. "Impact of investments on the health system in Bulgaria," Economic Thought journal, Bulgarian Academy of Sciences - Economic Research Institute, issue 2, pages 3-29,30-53.
    • Handle: RePEc:bas:econth:y:2015:i:2:p:3-29,30-53
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    References listed on IDEAS

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    1. Kundurjiev, T. & Salchev, Petko, 2011. "Technical efficiency of hospital psychiatric care in Bulgaria – assessment using Data Envelopment Analysis," MPRA Paper 28935, University Library of Munich, Germany.
    2. C A K Lovell & A P B Rouse, 2003. "Equivalent standard DEA models to provide super-efficiency scores," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 54(1), pages 101-108, January.
    3. Kooreman, Peter, 1994. "Nursing home care in The Netherlands: a nonparametric efficiency analysis," Journal of Health Economics, Elsevier, vol. 13(3), pages 301-316, October.
    4. Victor R. Fuchs, 2018. "The Supply of Surgeons and the Demand for Operations," World Scientific Book Chapters, in: Health Economics and Policy Selected Writings by Victor Fuchs, chapter 16, pages 171-192, World Scientific Publishing Co. Pte. Ltd..
    5. Robert G. Evans, 1974. "Supplier-Induced Demand: Some Empirical Evidence and Implications," International Economic Association Series, in: Mark Perlman (ed.), The Economics of Health and Medical Care, chapter 10, pages 162-173, Palgrave Macmillan.
    6. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    7. Chilingerian, Jon A., 1995. "Evaluating physician efficiency in hospitals: A multivariate analysis of best practices," European Journal of Operational Research, Elsevier, vol. 80(3), pages 548-574, February.
    8. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    9. Chang, Hsi-Hui, 1998. "Determinants of Hospital Efficiency: the Case of Central Government-owned Hospitals in Taiwan," Omega, Elsevier, vol. 26(2), pages 307-317, April.
    10. De Jaegher, Kris & Jegers, Marc, 2000. "A model of physician behaviour with demand inducement," Journal of Health Economics, Elsevier, vol. 19(2), pages 231-258, March.
    11. Melnick, Glenn A. & Zwanziger, Jack & Bamezai, Anil & Pattison, Robert, 1992. "The effects of market structure and bargaining position on hospital prices," Journal of Health Economics, Elsevier, vol. 11(3), pages 217-233, October.
    12. Leibenstein, Harvey & Maital, Shlomo, 1992. "Empirical Estimation and Partitioning of X-Inefficiency: A Data-Envelopment Approach," American Economic Review, American Economic Association, vol. 82(2), pages 428-433, May.
    13. Valdmanis, Vivian, 1992. "Sensitivity analysis for DEA models : An empirical example using public vs. NFP hospitals," Journal of Public Economics, Elsevier, vol. 48(2), pages 185-205, July.
    14. Victor R. Fuchs & Joseph P. Newhouse, 1978. "The Economics of Physician and Patient Behavior," NBER Books, National Bureau of Economic Research, Inc, number fuch78-1, March.
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    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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